Investigate the Change in the Behavior of Supplementary Insurers and Insured Individuals Before and after the Implementation of the Health System Reform in Mashhad University of Medical Sciences Hospitals

Since supplementary insurance patients should benefit from the benefits of insurance, they do not receive health subsidies, the behavior of supplementary insurance organizations and their insured may be endangered for supplementary insurance. The purpose of this study was to investigate the change in the behavior of supplementary insurers and insured individuals before and after the implementation of the health system reform in Mashhad University of Medical Sciences hospitals.

This descriptive study was conducted on a retrospective cross-sectional study in 2012-2017. The population of the study consisted of 2099499 admitted and under-observed patients in 24 public hospitals affiliated to Mashhad University of Medical Sciences. The data were collected by referring to the hospital discharge department and patient information through HIS in each hospital. The accuracy of the data was evaluated. Data analysis was performed using SPSS v16 and EViews v10 software.

The share of supplementary insurance in the year 2012 was about 1, and in the year 2013, Implementation of the health system reform program has reduced the share of supplementary insurance, And by the end of the year 2017, the trend has been declining to 0.2.

It seems that supplementary insurance contracts should be integrated with university hospitals and patients' insurance coverage should be done electronically.